@article{ref1,
title="Bizarre and scary ECG in yew leaves poisoning: report of successful treatment",
journal="Annals of noninvasive electrocardiology",
year="2018",
author="Cerrato, Natascia and Calzolari, Gilberto and Tizzani, Pietro and Actis Perinetto, Emma and Dellavalle, Antonio and Aluffi, Enzo",
volume="23",
number="5",
pages="e12535-e12535",
abstract="Yew leaves poisoning is a rare life-threatening intoxication, whose diagnosis can be difficult. Initial symptoms are nausea, vomiting, abdominal pain, dizziness, tachycardia, muscle weakness, confusion, beginning within 1 hr from ingestion and followed by bradycardia, ventricular arrhythmias, ventricular fibrillation, severe hypotension, and death. Taxine-derived alkaloids are responsible for the toxicity of the yew leaves, blocking sodium and calcium channels, and causing conduction abnormalities. Because of lack of a specific antidote and limited efficacy of common antiarrhythmic drugs, prompt diagnosis, detoxification measures, and immediate hemodynamic support (also with transvenous cardiac stimulation) are essential.<br><br>© 2018 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="1082-720X",
doi="10.1111/anec.12535",
url="http://dx.doi.org/10.1111/anec.12535"
}